<?php slot('title',sprintf('TOYOMOTOR - Encuesta de Servicio'))?>
<?php use_stylesheets_for_form($form) ?>
<?php use_javascripts_for_form($form) ?>
<?php
/**
 * @author     Roberto Hernandez De La Luz at Netosfera
 * @date    21/09/2011
 */
?>

<?php /*se envia a citas para que capture el auto seleccionado y se revise que vehiculo se selecciono para recomendar un servicio */?>
<div id="content-wrapper">
    <div id="left-side">
    <div id="titulo-wrapper">
  <h1>Encuesta</h1>
  <h2></h2>
  </div>
<form action="<?php echo url_for('citas/envioencuesta') ?>" method="post" <?php $form->isMultipart() and print 'enctype="multipart/form-data" ' ?>>
<?php echo $form->renderHiddenFields(true) ?>  
 <?php echo $form->renderGlobalErrors() ?>
 <span class="campo-form">
    <?php echo $form['nombrec']->renderLabel() ?><?php echo $form['nombrec']->renderError() ?><?php echo $form['nombrec'] ?>
 </span>

<span class="campo-form-calendar">
	<?php echo $form['fecha']->renderLabel() ?><?php echo $form['fecha']->renderError() ?><?php echo $form['fecha'] ?>
</span>
    
<span class="campo-form">
	<?php echo $form['placa']->renderLabel() ?><?php echo $form['placa']->renderError() ?><?php echo $form['placa'] ?>
</span>
    
<span class="campo-form-calendar">
	<?php echo $form['atencionhora']->renderLabel() ?><?php echo $form['atencionhora']->renderError() ?><?php echo $form['atencionhora'] ?>
</span>    
        
<span class="campo-form-calendar">
	<?php echo $form['atencioncortesia']->renderLabel() ?><?php echo $form['atencioncortesia']->renderError() ?><?php echo $form['atencioncortesia'] ?>
</span>  
        
<span class="campo-form-calendar">
	<?php echo $form['reparado']->renderLabel() ?><?php echo $form['reparado']->renderError() ?><?php echo $form['reparado'] ?>
</span>  
        
<span class="campo-form-calendar">
	<?php echo $form['entregatiempo']->renderLabel() ?><?php echo $form['entregatiempo']->renderError() ?><?php echo $form['entregatiempo'] ?>
</span>  
        
<span class="campo-form-calendar">
	<?php echo $form['tiemporazonable']->renderLabel() ?><?php echo $form['tiemporazonable']->renderError() ?><?php echo $form['tiemporazonable'] ?>
</span>  
        
<span class="campo-form-calendar">
	<?php echo $form['repuestos']->renderLabel() ?><?php echo $form['repuestos']->renderError() ?><?php echo $form['repuestos'] ?>
</span>  
        
<span class="campo-form-calendar">
	<?php echo $form['costos']->renderLabel() ?><?php echo $form['costos']->renderError() ?><?php echo $form['costos'] ?>
</span>  
        
<span class="campo-form-calendar">
	<?php echo $form['asesorinfo']->renderLabel() ?><?php echo $form['asesorinfo']->renderError() ?><?php echo $form['asesorinfo'] ?>
</span>  
        
<span class="campo-form-calendar">
	<?php echo $form['ruta']->renderLabel() ?><?php echo $form['ruta']->renderError() ?><?php echo $form['ruta'] ?>
</span>  
    
<span class="campo-form-calendar">
	<?php echo $form['ocasion']->renderLabel() ?><?php echo $form['ocasion']->renderError() ?><?php echo $form['ocasion'] ?>
</span>  
    
<span class="campo-form">
	<?php echo $form['email']->renderLabel() ?><?php echo $form['email']->renderError() ?><?php echo $form['email'] ?>
</span>  
    
<span class="campo-form">
	<?php echo $form['comentario']->renderLabel() ?><?php echo $form['comentario']->renderError() ?><?php echo $form['comentario'] ?>
</span>
    
<span class="campo-form">
	<?php echo $form['captcha']->renderLabel() ?><?php echo $form['captcha']->renderError() ?><?php echo $form['captcha'] ?>
</span>

<input type="submit" value="Enviar" onclick="return verificarEncuesta(this.form);" />
<div id="space"></div>
  
</form>
</div>
<div id="right-side"><img src="/images/back-temp.jpg" /></div></div>